中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
11期
52-54
,共3页
牙种植%即刻%牙种植体%骨再生
牙種植%即刻%牙種植體%骨再生
아충식%즉각%아충식체%골재생
Dental implantation%Immediate%Dental implants%Bone regeneration
目的 评价前牙美学区即刻种植与即刻延期种植的临床效果.方法 对32例患者分情况即刻植入Replace,Straumann TE和Osstem GS种植体共45枚,其中拔牙后立即植入种植体共28枚,对于附着龈较窄、牙龈厚度较薄及根尖周有炎症的患者,在微创拔牙后唇腭侧牙龈"8"字缝合,减小拔牙创,2~4周软组织愈合后再作即刻延期种植.修复完成后,进行定期的临床和放射学检查,观察种植体周围有无阴影,种植体周围牙槽骨吸收情况,同时检杳软组织愈合情况.结果 45枚种植体经6~60个月观察,全部成功,美学效果好,两者之间效果无统计学差异.结论 选择合适的病例,配合采用引导骨再生技术处理在前牙区即刻种植与即刻延期种植均可以取得良好的临床效果.
目的 評價前牙美學區即刻種植與即刻延期種植的臨床效果.方法 對32例患者分情況即刻植入Replace,Straumann TE和Osstem GS種植體共45枚,其中拔牙後立即植入種植體共28枚,對于附著齦較窄、牙齦厚度較薄及根尖週有炎癥的患者,在微創拔牙後脣腭側牙齦"8"字縫閤,減小拔牙創,2~4週軟組織愈閤後再作即刻延期種植.脩複完成後,進行定期的臨床和放射學檢查,觀察種植體週圍有無陰影,種植體週圍牙槽骨吸收情況,同時檢杳軟組織愈閤情況.結果 45枚種植體經6~60箇月觀察,全部成功,美學效果好,兩者之間效果無統計學差異.結論 選擇閤適的病例,配閤採用引導骨再生技術處理在前牙區即刻種植與即刻延期種植均可以取得良好的臨床效果.
목적 평개전아미학구즉각충식여즉각연기충식적림상효과.방법 대32례환자분정황즉각식입Replace,Straumann TE화Osstem GS충식체공45매,기중발아후립즉식입충식체공28매,대우부착간교착、아간후도교박급근첨주유염증적환자,재미창발아후진악측아간"8"자봉합,감소발아창,2~4주연조직유합후재작즉각연기충식.수복완성후,진행정기적림상화방사학검사,관찰충식체주위유무음영,충식체주위아조골흡수정황,동시검묘연조직유합정황.결과 45매충식체경6~60개월관찰,전부성공,미학효과호,량자지간효과무통계학차이.결론 선택합괄적병례,배합채용인도골재생기술처리재전아구즉각충식여즉각연기충식균가이취득량호적림상효과.
Objective To evaluate the clinical efficacy of immediate implantation and delayed immediate implantation in anterior extraction sockets.nethods Following an atraumatic extraction of teeth,45 implants(from Replace,Straumann TE and Osstem GS)were placed into sockets of 32 csses and dlvided into two groups.28 implants placed into sockets at the time of the extraction of teeth were in one group,the others placed in 2-4 weeks after the extraction were in the other group in the cases with more nsrrow attached gingival.thinner gingival or periapical periodontitis.After reparation,the implants were detected in some time by clinical gross observation and X-ray radiography to measure the shadow and bone obsorption of the alveolar near the implants and the healing of soft tissue.Results Follow-up post-prosthesis wag the minimum being 6 months and the maximum 60 months.All cases achieyed good clinical efficacy.There was on significant difference between the two groups.Conclusion Choosing suitable cases.clinical studies on the placement of immediate implant in anterior extraction sockets have revealed predictable results with guided bone regeneration technique in both immediate implantation and delayed immediate implantation.